Active NPI
Center for Wellness Reference Lab
- Clinical Medical Laboratory
- Huntsville, AL
National Provider Identifier
1487038816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- L4578
- Legal business name
- CENTER FOR WELLNESS REFERENCE LAB
- Practice address
- 204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262 - Phone
- (256) 533-8787
- Fax
- (256) 533-8788
- NPI assigned
- Jul 15, 2015
- Last updated
- Jul 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James C. Nix III, M.D.
- Title
- Managing Partner
- Phone
- (256) 533-8787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | L4578 | AL | Primary |
Addresses
Primary practice location
204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262
Mailing address
204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262
Phone (256) 533-8787
National Provider Directory
National Provider DirectoryLocations
204 Lowe Ave SE
Ste 9
Huntsville, AL 35801
Phone (256) 533-8787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436918400000",
"number": "1487038816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LOWE AVE SE",
"address_2": "SUITE 9",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014262",
"telephone_number": "256-533-8787",
"fax_number": "256-533-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LOWE AVE SE",
"address_2": "SUITE 9",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014262",
"telephone_number": "256-533-8787",
"fax_number": "256-533-8788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR WELLNESS REFERENCE LAB",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A",
"authorized_official_last_name": "NIX",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "256-533-8787",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "AL",
"license": "L4578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.